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General NPI Number Information
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NPI Number | 1063894988
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Entity Type | Individual
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Provider Name | CHRISTINA THI NGUYEN PA - C
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Gender | Female
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Dates
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Enumeration Date | 06/27/2015
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 1550 SUPERIOR AVE
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City | COSTA MESA
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State | CA
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Zip | 92627-3653
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Country | US
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Telephone | 949-270-2100
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Fax |
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Provider Business Mailing Address
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Address Line | 9122 ADAMS AVE
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92646
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Country | US
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Telephone | 714-378-0900
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Fax | 714-378-5166
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 52593
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License Number State | CA
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